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vNOTES for adnexal procedures.
J Obstet Gynaecol
October 2021
Department of Gynaecologic Endoscopy, Hospital Lusíadas Porto Av. da Boavista 171, Porto, Portugal.
This work aims to describe the technique and review all transvaginal natural orifice transluminal endoscopic surgery (vNOTES) for adnexal procedures performed and to acknowledge vNOTES as an alternative to conventional laparoscopy. The procedure consisted of an incision in the Pouch of Douglas, insertion of a single port device, laparoscopic surgery through the device, extraction of specimens through the vagina and closure of the vaginal apex with a direct suture. Eighteen procedures have been successfully completed, 1 patient required conversion to conventional abdominal surgery due to intolerance to pneumoperitoneum.
View Article and Find Full Text PDFHysteropexy with single-incision vaginal support system associated with a modified culdoplasty for enterocele prevention.
J Obstet Gynaecol
February 2020
Azienda Ospedaliero-Universitaria Policlinico-Vittorio Emanuele, Catania, Italy.
Our study assessed the safety and clinical outcomes of hysteropexy with a single-incision mesh associated with a modified culdoplasty, for the surgical management or prevention of enterocele, in women with pelvic organ prolapse (POP). We carried out a 1-year prospective single-cohort study, including 51 women with symptomatic, multi-compartmental POP. Anatomical outcome was assessed with a POP-Q system and the subjective outcomes were assessed using ICSQ-SF and PGI-I.
View Article and Find Full Text PDFCompliance and complications of culdotomy.
Minerva Ginecol
August 2016
Maternity Unit, Hospital of Asiago, Asiago, Vicenza, Italy -
Background: Culdotomy is a practically exclusive appanage of gynaecological surgeons. Today the transvaginal access to pelvis and abdominal cavity is also utilized for non-gynecological surgery.
Methods: The authors report the complications and compliance of 326 culdotomies performed in the Simple Maternity Unit of Asiago Hospital (Asiago, Vicenza, Italy).
Mycoplasma genitalium, Chlamydia trachomatis, and tubal factor infertility--a prospective study.
Fertil Steril
September 2008
Institute of Medical Microbiology and Immunology, University of Aarhus, Arhus, Denmark.
Objective: To determine the presence of M. genitalium and C. trachomatis in women attending fertility clinics and to follow these women for the effects of previous infections or tubal damage on pregnancy rate and outcome.
View Article and Find Full Text PDFMinilaparotomy and endoscopic techniques for tubal sterilisation.
Cochrane Database Syst Rev
November 2004
Geneva Foundation for Medical Education and Research, Route de Florissant 3, Geneva, Switzerland, CH-1208.
Background: Worldwide, the most commonly used method of fertility regulation is tubal sterilisation. In developed countries sterilisation is generally performed by laparoscopy rather than by minilaparotomy, based on the belief that this approach is both safe and effective. In developing countries, where the resources are limited for the purchase and maintenance of the more sophisticated laparoscopic equipment, minilaparotomy may still be the most common approach.
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